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Lieutenant may also appear as part of a title used in various other organisations with a codified command structure. It often designates someone who is "second-in-command," and as such, may precede the name of the rank directly above it. For example, a "Lieutenant Master" is likely to be second-in-command to the "Master" in an organization utilizing both such ranks. Notable uses include Lieutenant Governor in various governments, and Quebec lieutenant in Québécois politics.

The word lieutenant derives from French; the lieu meaning "place" as in a position; and tenant meaning "holding" as in "holding a position"; thus a "lieutenant" is somebody who holds a position in the absence of his or her superior (compare the cognate Latin locum tenens). Other cognates would include the Arabic mulazim (Arabic ??????), meaning "holding a place", and the Hebrew word Segen (Hebrew ????), meaning "deputy" or "second to".

In the nineteenth century those British writers who either considered this word an imposition on the English language or difficult for common soldiers and sailors argued for it to be replaced by the calque "steadholder" but failed and the French word is still used as well as its Lieutenant-Colonel variation in both the Old and the New World.

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